Credentialing Specialist

4 days ago


Atlanta, Georgia, United States Barbour Orthopaedics Full time
Job Summary:

Barbour Orthopaedics is seeking a skilled Credentialing Specialist to join our team in Chamblee. As a key member of our medical staff, you will be responsible for ensuring the accuracy and completeness of physician and provider privileging files. This is a fully in-office role that requires strong organizational and analytical skills, with attention to detail and excellent verbal and written communication skills.

Key Responsibilities:

• Process initial credentialing and re-credentialing applications, including verifying healthcare provider information and licensing, conducting background checks, and ensuring that all regulatory requirements are met.
• Maintain accurate physician and provider privileging files and ensure that all required approvals are received before granting clinical privileges.
• Coordinate with medical staff personnel to ensure that contract providers and allied health professionals are properly licensed and credentialed.
• Collect information from the National Practitioner Data Bank (NPDB), the applicant and their malpractice insurer, and other relevant sources.
• Identify discrepancies in information and conduct follow-ups.
• Communicate with healthcare providers and external agencies regarding licensing and credentialing requirements and ensure ongoing compliance with regulatory guidelines.

Requirements:

• Bachelor's degree in healthcare administration, business or related field preferred.
• 2+ years of credentialing experience with hospital medical staff.
• Experience with state, federal, and accreditation entity regulations and requirements related to credentialing and privileging.
• Knowledge of medical credentialing and privileging procedures, standards and software.
• NAMSS Certification as a Certified Professional Medical Services Manager (CPMSM) or Certified Provider Credentials Specialist (CPCS) preferred.
• Comfortable working in a fast-paced healthcare environment and be able to prioritize tasks.
• Strong organizational and analytical skills, with attention to detail.
• Excellent verbal and written communication skills.
• Proficient with Microsoft Office.
• Ability to prioritize tasks and work independently.
• Ability to focus for extended periods.

Type:

Full-Time - In office role

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